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3927 East Clark Drive PR0514138 <br /> October 10, 2019 Program: HW <br /> PHOTO 3: Unsi n land dis osal form for manifest 018243422JJK. <br /> Form APA-W OMS No.2050Jm frT <br /> s3ua ".w�. <br /> ,:yT NVIRONMENTAL SERVICES,INC. MANIFEST NO <br /> L RESTRICTION FORM LDR-1 <br /> III. ALIFOR I U T A COLUMN 4: <br /> COLUMN 2: COLUMN 3: HANDLING CODE <br /> UMN 1: WASTE CODE/SUBCATEGORY WASTEWATER/ <br /> LINE ITEM NON-WASTEWATER <br /> SEE MANIFEST <br /> Hazardous Waste containing one or more of the following I I WV'/ []Non-WW 1 2 3 4 6 <br /> California List constituents: <br /> [I ALL CALIFORNIA LIST CONSTITUENTS <br /> IN [I Liquids with nickel greater than or equal to 134 mg/I <br /> kll [I Liquids with thallium greater than or equal to 130 mg/I <br /> [I Liquids with PCB's>or=50 ppm <br /> [I Waste containing HOC's>or=1,000 mg/kg <br /> SECTION IV OTHER LISTED WASTES F006-12 FO19-FO28 F03738 1`039 K-U-AND P-CODESI <br /> COLUMN 1: COLUMN 2: COLUMN 3: COLUMN 4: <br /> WASTEWATER/ HANDLING CODE <br /> LINE ITEM WASTE CODE/SUBCATEGORY <br /> i SEE MANIFEST NON-WASTEWATER <br /> I [IWW []Non-WW 3 4 5 6 <br /> []WW [jNon-WW 3 4 5 6 <br /> []WW [jNon-WW 3 4 5 6 <br /> []WW []Non-WW 3 4 5 6 <br /> I]WW []Non-WW 3 4 5 6 <br /> []CHECK HERE IF ADDITIONAL LISTED WASTE CODES ARE PRESENT.COMPLETE AND ATTACH LDR-1 CONTINUATION <br /> SHEET. <br /> I I CHECK HERE IF WASTE CODE F039(MULTISOURCE LEACHATE)IS PRESENT.IDENTIFY F039 CONSTITUENTS BY <br /> COMPLETING SECTIONS 11 AND IV OF CHI FORM LORA ADDENDUM AND ATTACH COMPLETED ADDENDUM TO THIS FORM. <br /> SECTION V.CONTACT NAME AND DATE <br /> Print Name: <br /> Date: <br /> KEY TERMS/DEFINITIONS <br /> CLASS I SDWA SYSTEM means a Class I deep Well facility regulated under the Safe Drinking Water Act(SDWA). <br /> CWA SYSTEM means a centralized wastewater treatment facility discharging under a Clean Water Act(CWA)permit. For example,a CWA <br /> facility would treat organic or inorganic aqueous wastes and discharge the treated effluent to the local sewer system. Examples of CWA <br /> treatment systems owned and operated by Clean Harbors include the wastewater treatment operations at Baltimore(including the CES <br /> system),Bristol,Chicago,Cincinnati and Cleveland. <br /> CWA-EQUIVALENT SYSTEM means a"zero discharge system"that engages in"CWA-equivalent"treatment before land disposal.Zero- <br /> discharge facilities treat hazardous wastes using"CWA-equivalent"treatment methods,but do not discharge the treatment effluent to a <br /> sewer or water body(e.g.,spray irrigation land farm). <br /> CWA-equivalent"treatment methods means biological treatment for organics,alkaline <br /> chlorination,or ferrous sulfate precipitation for cyanide,precipitation/sedimentation for metals,reduction of hexavalent chromium,or other <br /> treatment technology that can be demonstrated to perform equally or greater than these technologies. <br /> HIGH TOC IGNITABLE LIQUIDS SUBCATEGORY means an ignitable liquid hazardous waste(Waste code D001)which contains <br /> greater than or equal to 10%total organic carbon(TOC). Pursuant to 40 CFR 268.40.such Wastes must be treated using organic recovery <br /> Examples of CMBSTORGS)Of ttechnologies ncfutlelhazardous y. waste fuelles of RGS blendingblendinchnologies include the CES unit at Clean Harbors of Baltimore. <br /> incinerator. <br /> g and subsequent reuse at a cement kiln,or destruction at a RCRA <br /> WASTEWATERS are wastes that contain leas than <br /> solids(TSS).[See 40 CFR 268.2(o) 1% <br /> by weight total organic carbon(TOC)and less than 1%by weight total suspended <br /> CHI Form LDR-1,Page 3 of 3 <br /> [EffVMA <br /> Lydia Baker, REHS Page 3 of 54 <br />